Basic Information
Provider Information
NPI: 1538318498
EntityType: 2
ReplacementNPI:  
OrganizationName: METROPOLITAN HOSPITAL CNETER
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 333 E 85TH ST
Address2: AP #3D
City: NEW YORK
State: NY
PostalCode: 100285406
CountryCode: US
TelephoneNumber: 6462211048
FaxNumber:  
Practice Location
Address1: 1901 1ST AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100297404
CountryCode: US
TelephoneNumber: 2124236262
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/16/2008
LastUpdateDate: 09/16/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: KHALIL
AuthorizedOfficialFirstName: SAHAR
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: ATTENDING
AuthorizedOfficialTelephone: 6462211048
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282NC2000X249680NYY HospitalsGeneral Acute Care HospitalChildren

No ID Information.


Home